Nicholas Desorbo
1271972 LLC


Address: 856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012
Phone: 8609673206

Nicholas Desorbo (NPI# 1285150946, PAC ID# 5092072413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1285150946
PAC ID by PECOS 5092072413
Professional Enrollment ID I20181001002030
Full Name Nicholas Desorbo
Organization Legal Name 1271972 LLC
Address 856 Cromwell Ave
Suite B
Rocky Hill
CT 06067-3012
Phone Number 8609673206
Gender M
Medical School UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4688988371
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070002 ST FRANCIS HOSPITAL & MEDICAL CENTER

Other Locations

Address Phone Organization
856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012 8609673206 1271972 LLC
672 Silas Deane Hwy, Wethersfield, CT 06109-3053 8609673600 1271972 LLC

Organization Information

Organization Legal Name 1271972 LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Joanna L. Breton Nurse Practitioner 1271972 LLC 856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012
Jurg Oggenfuss Nurse Practitioner 1271972 LLC 175 Webster Square Rd, Berlin, CT 06037-2328
Thomas A Brown Internal Medicine 1271972 LLC 672 Silas Deane Hwy, Wethersfield, CT 06109-3053
Huma Hussain Nurse Practitioner 1271972 LLC 856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012
Maryam Iftikhar Physician Assistant 1271972 LLC 175 Webster Square Rd, Berlin, CT 06037-2328
Autumn Smith Physician Assistant 1271972 LLC 175 Webster Square Rd, Berlin, CT 06037-2328
Muhammad Aftab Zubairi Nurse Practitioner 1271972 LLC 672 Silas Deane Hwy, Wethersfield, CT 06109-3053
Monique R Martin Internal Medicine 1271972 LLC 175 Webster Square Rd, Berlin, CT 06037-2328
Emily L Lukasiak Physician Assistant 1271972 LLC 672 Silas Deane Hwy, Wethersfield, CT 06109-3053
Michelle Ziegler Physician Assistant 1271972 LLC 672 Silas Deane Hwy, Wethersfield, CT 06109-3053

Office Location

Street Address 856 CROMWELL AVE
SUITE B
City ROCKY HILL
State CT
Zip 06067-3012

Physicians in the same location

Name Specialty Organization Address
Joanna L. Breton Nurse Practitioner 1271972 LLC 856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012
Huma Hussain Nurse Practitioner 1271972 LLC 856 Cromwell Ave, Suite B, Rocky Hill, CT 06067-3012

Physicians in the same zip code

Name Specialty Organization Address
Mark Chudy Chiropractic 88 New Britain Ave, Rocky Hill, CT 06067-1131
Gina M Carucci Chiropractic 53 New Britain Ave, Suite 10, Rocky Hill, CT 06067-1175
Matthew S King Optometry King Family Eye Care, LLC 80 Town Line Rd, Rocky Hill, CT 06067-1249
Susan Evans Optometry King Family Eye Care, LLC 80 Town Line Rd, Rocky Hill, CT 06067-1249
Leora A Berns Optometry King Family Eye Care, LLC 80 Town Line Rd, Rocky Hill, CT 06067-1249
Eric E Milman Physical Therapy Physical Therapy Center of Rocky Hill, LLC 1975 Silas Deane Hwy, Rocky Hill, CT 06067-1309
John J Paholski Jr. Physical Therapy Physical Therapy Center of Rocky Hill, LLC 1975 Silas Deane Hwy, Rocky Hill, CT 06067-1309
Alison Colussi Physical Therapy Physical Therapy Center of Rocky Hill, LLC 1975 Silas Deane Hwy, Rocky Hill, CT 06067-1309
Peter H Cram Jr. Physical Therapy Physical Therapy Center of Rocky Hill, LLC 1975 Silas Deane Hwy, Rocky Hill, CT 06067-1309
Michael Rigdon Physical Therapy Physical Therapy Center of Rocky Hill, LLC 1975 Silas Deane Hwy, Rocky Hill, CT 06067-1309
Find all physicians in zip 06067

Competitor

Search similar physicians

City ROCKY HILL
Zip Code 06067
Specialty NURSE PRACTITIONER
City + Specialty ROCKY HILL + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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